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Exercise and Activity Promotion

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Managing Breathlessness in Clinical Practice
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Abstract

Regular exercise and activity has been proven to improve breathlessness however breathless patients often avoid exercise and activity due to the misguided fear that breathlessness is harmful. Some patients may avoid exertion simply just to avoid this unpleasant symptom. Carers may also re-enforce negative beliefs regarding exercise, therefore promoting a sedentary life style. Inactivity may cause the breathless patient to become deconditioned and their breathlessness may worsen as a result. The clinician’s role is to address barriers to exercise and promote regular, appropriate exercise and activity. This chapter will introduce and explore a stepwise process to exercise and activity promotion to help guide the clinician to empower the breathless patient to engage in lifelong exercise and activity.

“When I found out I’d got cancer, you think ‘I’m ill’, whereas she made me see that you can still do exercise, all the exercises that you can do and when she left I felt much more confident actually, I did definitely”

–A patient with lung cancer

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References

  • American College of Sports Medicine (ACSM). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42(7):1409–26.

    Article  Google Scholar 

  • American Thoracic Society & European Respiratory Society (ATS/ ERS). American Thoracic Society and European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006;173:1390–413.

    Article  Google Scholar 

  • Be Active Ltd. Pedometer walking programme advice leaflet. 2009. www.be-activeltd.co.uk.

  • Benton MJ, Swan PD. Addition of resistance training to pulmonary rehabilitation programme: an evidence-based rational ad guidelines for use of resistance training with elderly patients with COPD. Cardiopulm Phys Ther J. 2006;17(4):127–33.

    Google Scholar 

  • Borg GA. Psychophysiological bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377–81.

    PubMed  CAS  Google Scholar 

  • British Thoracic Society (BTS) & Association of Chartered Physiotherapists in Respiratory Care (ACPRC). Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax. 2009;64(I):i1–51.

    Google Scholar 

  • British Thoracic Society (BTS) & Scottish Intercollegiate Guidelines Network (SIGN). 101 British guideline on the management of asthma: a national clinical guideline. 2012. www.brit-thoracic.org.uk.

  • Campbell A, Foster J, Stevinson C, Cavill N. The importance of physical activity for people living with and beyond cancer: a concise evidence review. London: Macmillan Cancer Support; 2012. http://www.macmillan.org.uk/Documents/AboutUs/Commissioners/Physicalactivityevidencereview.pdf.

  • Celli BR. Exercise in the rehabilitation of patients with respiratory disease. In: Hodgkin JE, Celli BR, Connors GL, editors. Pulmonary rehabilitation: guidelines to success. 4th ed. St Louis: Mosby Elsevier; 2009. p. 129–42.

    Google Scholar 

  • Department of Health. Start active, stay active: a report on physical activity from the four home countries chief medical officers. London. 2011.

    Google Scholar 

  • England R, Maddocks M, Manderson C, Wilcock A. Factors influencing exercise performance in thoracic cancer. Respir Med. 2012;106(2):294–9.

    Article  PubMed  Google Scholar 

  • Evans RA, Singh SJ, Morgan MD. A randomised controlled trial of pulmonary rehabilitation for patients with chronic heart failure. Eur Respir J. 2007;28(S50):766s.

    Google Scholar 

  • Gosselink R, De Vos J, van den Heuvel SP, Segers J, Decramer M, Kwakkel G. Impact of inspiratory muscle training in patients with COPD: what is the evidence? Eur Respir J. 2011;37(2):416–25.

    Article  PubMed  CAS  Google Scholar 

  • Heppner PS, Morgan C, Kaplan RM, Ries AL. Regular walking and long-term maintenance of outcomes after pulmonary rehabilitation. J Cardiopulm Rehabil. 2006;26(1):44–53.

    Article  PubMed  Google Scholar 

  • Morris GS, Gallagher GH, Baxter MF, Brueilly KE, Scheetz JS, Amhed MM, Shannon VR. Pulmonary rehabilitation improves functional status in oncology patients. Arch Phy Med Rehabil. 2009;90(5):837–41.

    Article  Google Scholar 

  • National Clinical Guideline Centre. Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care. London: National Clinical Guideline Centre; 2010. Available at http://guidance.nice.org.uk/CG101/Guidance/pdf/English.

  • National Institute for Health and Clinical Excellence (NICE). Idiopathic pulmonary fibrosis: the diagnosis and management of suspected idiopathic pulmonary fibrosis. NICE clinical guideline 163. 2013. www.nice.org.uk.

  • National Institute for Health and Clinical Excellence (NICE). Chronic heart failure: management of chronic heart failure in adults in primary and secondary care. NICE clinical guideline 108. 2010. www.nice.org.uk.

  • O’Shea SD, Taylor NF, Paratz J. Peripheral muscle strength training in COPD: a systematic review. Chest. 2004;126:903–14.

    Article  PubMed  Google Scholar 

  • Puente-Maestu L, Sanx ML, Sanx P, et al. Comparison of effects of a supervised vs self monitored training programme in patients with chronic obstructive pulmonary disease. Eur Respir J. 2000;15(3):517–25.

    Article  PubMed  CAS  Google Scholar 

  • Speck R, Courneya K, Masse L, Duval S, Schmitz K. An update of controlled physical activity trials in cancer survivors: a systematic review. J Cancer Surviv. 2010;4:87–100.

    Article  PubMed  Google Scholar 

  • Spence RR, Heesch KC, Brown WJ. Exercise and cancer rehabilitation: a systematic review. Cancer Treat Rev. 2010;36:185–94.

    Article  PubMed  Google Scholar 

  • Steel BG, Belza B, Cain K, Coppersmith J, Howard J, Lakshminarayan S, Haselkorn J. The impact of chronic obstructive pulmonary disease exacerbation on pulmonary rehabilitation participation and functional outcomes. J Cardiopulm Rehabil. 2010;30(1):53–60.

    Article  Google Scholar 

Further Information & Resources

Exercise and COPD

Asthma and Exercise

Physical Activity and Cardiac Disease

Exercise and Activity for People Living with and Beyond Cancer

Self Management of Long Term Conditions

  • Expert Patients Programme Community Interest Company. Self management in long-term health conditions: a handbook for people with chronic disease. Boulder: Bull Publishing Company; 2007.

    Google Scholar 

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Booth, S., Burkin, J., Moffat, C., Spathis, A. (2014). Exercise and Activity Promotion. In: Managing Breathlessness in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-4754-1_8

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  • DOI: https://doi.org/10.1007/978-1-4471-4754-1_8

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  • Publisher Name: Springer, London

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  • Online ISBN: 978-1-4471-4754-1

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